Gourt > Business > Financial Services > Insurance > Life and Health > Managed Care (4)
Managed care is a synonym for PPO, HMO, MCO, and POS.
Managed care is a concept in U.S. health care which rose to dominance during the presidency of Ronald Reagan as a means to control Medicare payouts. As a major Medicare claims administrator, the Blue Cross-Blue Shield insurance firm was a major architect of managed care. It spread fairly quickly to the health insurance industry in the private sector.
Managed care is based on an effort to control escalating health care costs by the health insurance industry, which supposedly defines a reasonable maximum fee which health care providers may charge for any given service. Providers are ostensibly bound to accept these maximum fees if they wish to be listed in directories of specific insurance companies, which are provided to their policy holders as referral directories of "approved" physicians.
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@dzifah They managed to get Waxman-Markey through (just) and i don't see to much divergence on other votes. Health Care is different I know.
fmome (Findlay Osborn) Fri, 18 Dec 2009 03:03:30 -0000
@dzifah They managed to get Waxman-Markey through (just) and i don't see to much divergence on other votes. Health Care is different I know.
Pretty good day, minus the xmas carol invasion at the office. Managed care reviewers jingling bells and what not.
sharoniouss (Sharon Wacker) Thu, 17 Dec 2009 23:10:24 -0000
Pretty good day, minus the xmas carol invasion at the office. Managed care reviewers jingling bells and what not.
I wonder if there's anyone that doesn't think they could come up with a better plan for health care reform than the US Senate has managed.
Jaykul (Jaykul) Thu, 17 Dec 2009 21:15:19 -0000
I wonder if there's anyone that doesn't think they could come up with a better plan for health care reform than the US Senate has managed.
President Barack Obama Sir, Please support the Single Payer, Government Managed Health Care, as proposed by Sen. Bernie Sanders. It is right
eaglefeather43 (Pablo Sancho) Thu, 17 Dec 2009 20:13:56 -0000
President Barack Obama Sir, Please support the Single Payer, Government Managed Health Care, as proposed by Sen. Bernie Sanders. It is right
Online membership manual prepared by Ohana, the for-profit managed care company owned by WellCare of Florida. http://bit.ly/7LrcU6
DisabilityMom (Summer Harrison) Thu, 17 Dec 2009 20:12:48 -0000
Online membership manual prepared by Ohana, the for-profit managed care company owned by WellCare of Florida. http://bit.ly/7LrcU6
Health Care is an American issue, NOT a Republican or a Democrate issue, an American issue! Single Payer is best 4 America gov Managed care
eaglefeather43 (Pablo Sancho) Thu, 17 Dec 2009 20:09:32 -0000
Health Care is an American issue, NOT a Republican or a Democrate issue, an American issue! Single Payer is best 4 America gov Managed care
American Rehabilitation, Inc. (ARI) - Offers medical and vocational rehabilitation, telephonic claims reporting, telephonic case management, and medical networks.
American Specialty Health Plans of California - [USA, California] Offers health plans for chiropractic care and acupuncture. Site describes the company and includes directory of participating care providers.
Meta Description: [ Empowering individuals to live healthier, longer. Market leader in facilitating the integration of complementary health care products, services, and education programs into benefit plans. ]
AmeriChoice Corporation - [USA] Organizes health care benefits and services for beneficiaries of Medicaid and other government-sponsored health care programs in more than one dozen markets nationwide.
Amerigroup Corporation - [USA] Provider of health care to low-income and uninsured families in several states and the District of Columbia. [English, some content in Spanish]
Meta Description: [ A leader in managed healthcare services for the public sector, AMERIGROUP is the largest private company providing healthcare coverage exclusively to low-income families. ]
British Union Provident Association (BUPA) - [International] Provider of health insurance plans and services in several nations.
Meta Description: [ BUPA free health insurance quote and private medical insurance, plus information on health conditions and issues ]
Choice One, Inc. - [USA, North Carolina] Offers ongoing review and negotiation of managed care agreements for physicians with HMOs, PPOs, and POS programs. Has assisted in establishing several independent practice associations (IPAs).
Meta Description: [ Stanford Advisory Services provides consulting services for physicians and third parties. The key to the future is knowledge of the past. ]
College Health IPA - [USA, California] A behavioral healthcare delivery system serving approximately 1.1 million members.
Meta Description: [ CBHM is a Managed Behavioral Health delivery system serving over 1.2 million members in California ]
Community Care Behavioral Health Organization - Designed primarily to serve public sector consumers, and their families in Pennsylvania through the delivery of effective and accessible behavioral health services. Information on the company and its services is offered.
Meta Description: [ The mission of Community Care is to improve the health and wellbeing of the community through the delivery of effective and accessible behavioral health services. Community Care believes that the highest quality services are best provided through a not-for-profit partnership with public agencies,... ]
Concentra, Inc. - [USA] Provides occupational health services for cost containment and lost time prevention including: drug screens, physical therapy, first notice of injury, and case management.
Meta Description: [ Current Page Description ]
CorVel Corporation - [USA] A national, independent provider of managed care and case management services for workers' compensation, accident and health, and auto insurance markets.
County Managed Care Resource (COMCARE) - [USA, Pennsylvania] A program of the County Commissioners Association, which provides services and assistance to the counties implementing behavioral managed healthcare within the state HealthChoices program.
Meta Description: [ A program of the County Commissioners Association of PA, which provides services and assistance to the PA counties implementing behavioral managed healthcare. ]
Coventry Health Care, Inc. - [USA] A managed health care organization which offers HMOs and PPOs in many states. Site provides links to subsidiary organizations, offers investor information, and a company overview.
Meta Description: [ Coventry Health Care is a managed health care company based in Bethesda, Maryland. The Company provides a full range of managed care products and services throughout the Midwest, Mid-Atlantic and Southeast United States. ]
Definity Health, Inc. - [USA] A provider of consumer-driven health plans, consisting of an employer-funded personal care account, a traditional health coverage component, and an array of tools and resources to support its members.
First Health Group Corporation - [USA] Serves the group health, workers' compensation, and state public program markets in addition to offering claims services and clinical management. Site describes the company, its services, and offers consumer information.
GatesMcDonald HealthPlus - [USA, Ohio] A managed care program providing medical care via workers' compensation for injured workers. Site describes company, its services, and allows provider lookup.
500
Harvard Pilgrim Health Care - [USA] Nonprofit organization offers HMO, PPO, and POS plans in New England. Includes benefits, coverage, financial and employment information, and health news.
Health Plan of Nevada - [USA, Nevada] Offers HMO, Medicare HMO, PPO, and POS plans. Site includes information about plan options and benefits and a glossary. A subsidiary of Sierra Health Services, Inc.
500
Health Risk Management, Inc. - Provides integrated health care management and information services to manage the quality volume and cost of health care under employee benefit plans. (Nasdaq: HRMI).
Meta Description: [ Fireworks Splice HTML ]
Healthcare Recoveries, Inc. - Provides health insurance subrogation and related recovery services for private healthcare payors. (Nasdaq: HCRI).
Meta Description: [ Healthcare Recoveries. Our integrated recovery services
include subrogation, data mining, overpayment recovery, coordination of benefits, COB, provider
bill audit, DRG, outpatient audits, credit balance audits, retro-term eligibility, E and M, evaluation
and management, and physician bill audi... ]
HealthExtras, Inc. - Provides supplemental health and disability benefit programs directly to consumers over the Internet. (Nasdaq: HLEX).
HealthHelp - [USA] Provides radiology management services for insurers and physicians. Its national radiology network is used by many managed care organizations.
HealthSpring - [USA, Tennessee] A managed care organization in central part of state. Site describes products and services, allows provider search, and has areas for members, brokers, providers, and employers.
Meta Description: [ HealthSpring delivers world-class managed health care. We are dedicated to improving the health of the communities we serve by delivering the highest quality and greatest value in health care benefits and services. ]
Humana, Inc. - Offers coordinated health insurance coverage and related services to employer groups, government-sponsored plans, small businesses and individuals. (NYSE:HUM).
Meta Description: [ Humana health insurance plans and services offer guidance to help you choose, finance, and use your health benefits with confidence and success. ]
Keystone Mercy Health Plan - [USA, Pennsylvania] Medical assistance (Medicaid) managed care health plan in the southeastern region of the state.
Meta Description: [ Keystone Mercy Health Plan and our affiliated plans provide services to our members in a varitey of urban, suburban, and rural regions. ]
Lumenos, Inc. - [USA] Offers three phase program of consumer-driven healthcare, consisting of health savings account, traditional health coverage, and a health toolkit.
Medical Network One - [USA, Michigan] A for-profit organization committed to providing administrative services to physicians who have entered into both risk sharing and non-risk sharing agreements with managed care organizations.
Molina Healthcare, Inc. - [USA] Provides managed healthcare in California, Washington, Utah, and Michigan, to individuals covered under Medicaid and related programs. [English, Spanish, Chinese, Russian, Vietnamese, and Hmong]
Meta Description: [ Molina Healthcare, Inc. provides quality healthcare
including individuals covered under Medicaid and Medicare. Healthy families begin with Molina Healthcare. ]
Multimed - [South Africa] A medical scheme administrator. Services include managed care, claims management, and risk management.
National Medical Health Card Systems, Inc. - Offers prescription benefit management services to plan sponsors which include managed care organizations, local governments, unions, corporations and third party health care plan administrators. National network of licensed pharmacies, from Port Washington, New York. (Nasdaq: NMHC).
Pacificare Health Systems - [USA] A managed care health insurance company providing health plans for seniors, employer groups, families, and individuals. Includes areas for brokers, employers, and health care providers. Operates in western states and Guam.
Meta Description: [ PacifiCare provides innovative health insurance coverage and a range of health and well ness plans for groups and individuals. ]
Physicians Health Services, Inc. - Managed health care company. (NYSE:HNT).
Meta Description: [ Serving the health care needs of members coast to coast, Health Net offers plans in California, New York, New Jersey, Oregon, Arizona, and Connecticut. We work hard to make health care work for our members. ]
Profit Line - [USA] Delivers high return, risk free managed care claim audit and recovery services to the managed healthcare industry.
Meta Description: [ Since 1989, Profit Line has been delivering high return, risk free managed care claim audit and recovery services to the healthcare industry.
]
Prospect Medical - [USA, California] An affiliation of several managed care plans in the Greater Los Angeles area who have joined together to provide the full range of medical services to patients.
500
Ravenswood Physician Associates (RPA) - [USA, Illinois] An independent physicians association (IPA) of nearly 250 private practice physicians in Chicago and select northern suburbs. Providing insurance contract management and healthcare.
Meta Description: [ Chicago Physicians, RPA - Ravenswood Physician Associates Doctor Search. ]
Resolution Health Medical Scheme - [South Africa] Provides comprehensive, affordable medical cover to employer groups and individuals, and is supported by sound financial, administrative and medical controls.
Meta Description: [ Resolution Health Medical Scheme provides comprehensive, affordable medical cover to employer groups and individuals in South Africa and is supported by sound financial, administrative and medical controls ]
Sierra Health Services, Inc. - Provider of managed care benefit plans for employers, government programs, and individuals. Site offers company, investor, career and product information. Products include HMO, PPO, and POS. Headquartered in Las Vegas, Nevada, USA
Spectrum Managed Care - [USA, Texas] A workers' compensation managed care firm offering claims and case management, occupational networks, and medical bill and utilization review.
Welsh Mountain Medical and Dental Center (WMMDC) - Primary care center serving everyone in Lancaster County, Pennsylvania. Offers programs to serve uninsured and low-income individual and families.
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